MARYVALE FACILITY GROUP LLC
NPI 1053974592
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Q: What is Maryvale Facility Group LLC's NPI number?

The NPI number for Maryvale Facility Group LLC is 1053974592. It was assigned to this organization in the NPPES registry on April 19, 2019.

Q: What is Maryvale Facility Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 19, 2019

7141 W THOMAS RD STE 102, PHOENIX, AZ 85033(480) 634-6400(480) 404-9649 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2019, Apr 19, 2019 (2 updates tracked since 2019).

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About Maryvale Facility Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYVALE FACILITY GROUP LLC (NPI 1053974592) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since April 2019. The organization lists Challen Waychoff, Coo/manager, as its authorized official.

NPPES Registry Identity

NPI1053974592

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMARYVALE FACILITY GROUP LLC

Location Address7141 W THOMAS RD STE 102Phoenix, AZ 85033-5518

Mailing Address3724 N 3rd St Ste 301Phoenix, AZ 85012-2035 · (480) 634-6400 · Fax (480) 404-9649

Phone(480) 634-6400

Fax(480) 404-9649

Organization SubpartNo

Authorized OfficialChallen WaychoffCoo/manager · (480) 634-6400

Enumeration DateApril 19, 2019

Last NPPES UpdateMay 3, 20192 updates tracked since enumeration

✔ NPI 1053974592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

7141 W THOMAS RD STE 102, Phoenix, AZ 85033

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS FACILITY LLC

Clinic/Center (Ambulatory Surgical)

7141 W THOMAS RD STE 102
PHOENIX, AZ 85033

Maricopa County (480) 634-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryvale Facility Group LLC's NPI number?

The NPI number for Maryvale Facility Group LLC is 1053974592. It was assigned to this organization in the NPPES registry on April 19, 2019.

Where is Maryvale Facility Group LLC located?

Maryvale Facility Group LLC is located at 7141 W Thomas Rd Ste 102, Phoenix, AZ 85033. The listed phone number is (480) 634-6400.

What is Maryvale Facility Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Maryvale Facility Group LLC was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.